Evidence map›Paper›PMID 25133996›Full record

Trial reportMedicine and science in sports and exercise2014

Knee joint loading in knee osteoarthritis: influence of abdominal and thigh fat.

Stephen P Messier, Daniel P Beavers, Richard F Loeser, J Jeffery Carr, Shubham Khajanchi, Claudine Legault, Barbara J Nicklas, David J Hunter, Paul Devita

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine and science in sports and exercise, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. [Disease burden trends of site-specific osteoarthritis in China from 1990 to 2023 and the attribution to high body mass index].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  7. Article
  8. Aberrant Gait Biomechanics Linked to Cartilage Changes After ACL Reconstruction in Those With High Body Mass Index.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
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  15. Review
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  17. Mediating role of body mass index in knee osteoarthritis.Journal of Taibah University Medical Sciences · 2017
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Stephen P Messier1Department of Health and Exercise Science, Wake Forest University, Winston-Salem, NC; 2Department of Biostatistical Sciences, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, NC; 3Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, NC; 4Department of Exercise and Sport Science, East Carolina University, Greenville, NC; 5Department of Radiology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, NC; 6Department of Rheumatology, Royal North Shore Hospital and Kolling Institute, University of Sydney, Sydney, AUSTRALIA; 7Section on Molecular Medicine, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, NC; and 8Department of Rheumatology and Immunology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, NC.
Daniel P Beavers
Richard F Loeser
J Jeffery Carr
Shubham Khajanchi
Claudine Legault
Barbara J Nicklas
David J Hunter
Paul Devita

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jamie Nicole Justice · 2002 to 2026
$36.4M
USE OF MOTIVATIONAL INTERVIEWING TO MANAGE TYPE I DIABETESM01RR000211 · NCRR · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI HAK, EMILY B · 1985 to 2006
$9.6M
Strength Training and Arthritis TrialR01AR059105 · NIAMS · WAKE FOREST UNIVERSITY · PI MESSIER, STEPHEN P · 2011 to 2015
$3.9M
Intensive Dietary Restriction with Exercise in ArthritisR01AR052528 · NIAMS · WAKE FOREST UNIVERSITY · PI MESSIER, STEPHEN P · 2006 to 2010
$2.9M
NCRR NIH HHS M01 RR000211NCRR NIH HHS M01-RR00211NIAMS NIH HHS R01 AR052528NIAMS NIH HHS R01 AR052528-01NIAMS NIH HHS R01 AR059105NIA NIH HHS P30 AG021332NIA NIH HHS P30 AG21332
6 · The paper itself

Abstract

purposeUsing three separate models that included total body mass, total lean and total fat mass, and abdominal and thigh fat as independent measures, we determined their association with knee joint loads in older overweight and obese adults with knee osteoarthritis (OA).

methodsFat depots were quantified using computed tomography, and total lean and fat mass were determined with dual energy x-ray absorptiometry in 176 adults (age, 66.3 yr; body mass index, 33.5 kg·m) with radiographic knee OA. Knee moments and joint bone-on-bone forces were calculated using gait analysis and musculoskeletal modeling.

resultsHigher total body mass was significantly associated (P ≤ 0.0001) with greater knee compressive and shear forces, compressive and shear impulses (P < 0.0001), patellofemoral forces (P < 0.006), and knee extensor moments (P = 0.003). Regression analysis with total lean and total fat mass as independent variables revealed significant positive associations of total fat mass with knee compressive (P = 0.0001), shear (P < 0.001), and patellofemoral forces (P = 0.01) and knee extension moment (P = 0.008). Gastrocnemius and quadriceps forces were positively associated with total fat mass. Total lean mass was associated with knee compressive force (P = 0.002). A regression model that included total thigh and total abdominal fat found that both were significantly associated with knee compressive and shear forces (P ≤ 0.04). Thigh fat was associated with knee abduction (P = 0.03) and knee extension moment (P = 0.02).

conclusionsThigh fat, consisting predominately of subcutaneous fat, had similar significant associations with knee joint forces as abdominal fat despite its much smaller volume and could be an important therapeutic target for people with knee OA.

Indexed as

Weight-BearingAbdominal FatAbsorptiometry, PhotonAgedBiomechanical PhenomenaBody WeightFemaleGaitHumansKnee JointMaleMiddle AgedModels, StatisticalOsteoarthritis, KneePatellofemoral JointQuadriceps Muscle

Identifiers

PMID25133996
PMCPMC4137500

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.